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NICHOLAS L. RICO M.D. P.C. NPI 1710062690


NPI Information

NPI: 1710062690
Provider Name: NICHOLAS L. RICO, M.D., P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3303 TRIER RD STE 1
FORT WAYNE, IN
ZIP 46815
Phone: (260) 483-4260
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NICHOLAS L. RICO, M.D., P.C. is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NICHOLAS L. RICO, M.D., P.C. NPI is 1710062690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3303 TRIER RD STE 1
FORT WAYNE, IN
ZIP 46815-768
Phone: (260) 483-4260
Fax: (260) 483-6066

The provider's authorized official is Nicholas L. Rico .
The authorized official title is President And Ceo and has the following contact phone number (260) 483-4260.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 12/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine01031164AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C24503MEDICARE UPININDIANA
2100079790AMEDICAIDINDIANA
3197530MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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